TRANSFER 95 SITE LICENSE ORDER FORM
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FAX this form to: 612-426-6023
Or E-Mail to: itssy@mn.uswest.net 
Or mail to: ITS Systems, 14665 Fitzgerald Avenue, Hugo, MN 55038-9301
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Order Information:
Todays Date: ____________

                                          Price                 Total
Transfer 95 Personal Edition              $1000.00              ______
Transfer 95 Professional Edition          $2000.00              ______

Processing Fee U.S & Canada               $5.00                 ______
Processing Fee All Others                 $10.00                ______
Total Amount ($U.S Only)                                        ______

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Payment and Delivery Information (E-mail Only):

Name: ________________________________________________________________
Title: _______________________________________________________________
Company: _____________________________________________________________
Address: _____________________________________________________________
City: _____________________________ State/Province: __________________
Zip/Postal Code: __________________ Country: _________________________
**E-Mail Address: ____________________________________________________
Home Phone: __________________________________________________________
Work Phone: __________________________________________________________
FAX: _________________________________________________________________

Payment: Credit Card( ) Type: _______________  Check( ) Money Order( )
Drivers License Number (Check Payment): ______________________________
Credit Card Number: _________________________ Exp. Date(MM/YY): ______


Signature: ___________________________________________________________
** Your email address is not optional. Without it no delivery of the
software is possible. (See Terms:3 below).
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Terms:

1) All orders must be prepaid in US Funds Only. No Purchase Orders.
2) No other delivery method will be used except e-mail.
3) All funds sent without proper Delivery information are forfeit.
4) Address & Zip code must match credit card billing address.
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Comments: